Patient Intake
Ready To Start? Here Is The Checklist
Once we have talked and checked your benefits, intake is about gathering the documents insurance authorization requires. Missing some? That is normal. We help you chase them down.
What We Need From You
Send documents to our office by email, or bring them to your first visit.
- 1. Referral or Prescription for ABA TherapyFrom a licensed physician, with the ICD-10 code(s) based on the diagnosis.
- 2. Medical Necessity LetterName, date of birth, diagnosis confirmation, and rationale for ABA as medically necessary.
- 3. Comprehensive Diagnostic EvaluationA diagnostic report from a licensed physician, psychologist, or neurologist.
- 4. Insurance CardsFront and back of all active cards, primary and secondary.
- 5. Completed Intake PacketDemographics and consents. We send this to you when you call.
- 6. IEP or 504 Plan, If ApplicableThe most recent copy from your child's school.
- 7. Previous ABA Records, If ApplicablePrior assessments, behavior plans, and a transfer form when switching providers.
An online intake form is coming. For now, the fastest path is a phone call: we email you the intake packet, answer questions while you fill it in, and confirm the moment your file is complete.